28D2312715 CLIA NUMBER - VISUAL EYES OPTICAL

Laboratory Demographics

  • CLIA Code: 28D2312715
  • Facility Name: VISUAL EYES OPTICAL
  • Facility Address: 1104 S 76TH AVE
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 955-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYLE J. NIEMANN
  • NPI Number: 1457068173
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 28D2312715
LAB Type Physician Office
Facility Name VISUAL EYES OPTICAL
Street 1104 S 76TH AVE
City OMAHA
State NE
ZIP 68124
Phone 402 955-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director KYLE J. NIEMANN

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This page was last updated on: 9/29/2025